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The document is a midterm examination for ENT (Ear, Nose, Throat) studies, consisting of multiple-choice questions covering various topics related to the anatomy and physiology of the throat and nasal cavity. Key areas of focus include tonsil types, examination methods, anatomical structures, and functions of the pharynx and nasal cavity. The questions also address the innervation and blood supply relevant to these regions.
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0% found this document useful (0 votes)
65 views57 pages

Ent Usolved

The document is a midterm examination for ENT (Ear, Nose, Throat) studies, consisting of multiple-choice questions covering various topics related to the anatomy and physiology of the throat and nasal cavity. Key areas of focus include tonsil types, examination methods, anatomical structures, and functions of the pharynx and nasal cavity. The questions also address the innervation and blood supply relevant to these regions.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ENT midterm

1. Which tonsil hypertrophy is called adenoid ?


a) Nasopharyngeal
b) Palatine
c) Hingual
d) Laryngeal
e) Tubel

2. Which method is common used for diagnostic of a adenoid vegetations ?


a) Posterior Rhinoscopy
b) Interior Rhinoscopy
c) Median rhinoscopy
d) Indirect laryngoscopy
e) Direct laryngoscopy

3. What causes hearing impairment in a adenoid vegetations ?


a) Auditory tube obturation
b) Condition of an intercranial congestion
c) Intoxication of exotic, analyzer, ganglionic formations
d) Sclerosis of the auditory ossicles
e) cochlear neuritis

4. Which of the following is not typical for a adenoid vegetations ?


a) Dysphonia
b) Snoring
c) The diNiculty of nasal breathing
d) Abnormal development of the facial skeleton
e) Hearing loss

5. What of the following diagnosis should be differen6ated with adenoid


vegeta6ons?
A) nasopharyngeal angiofibroma

Beyond
B) all below
C) choanal polyp
D) cerebral hernia
E) none

6. How is throat examination called?


a) Laryngoscopy
b) Otoscopy
c) Rhinoscopy
d) Tracheobronchoscopy
e) Bronchoscopy

7. Which of these anatomical structures is not involved in the information of the


fauces ?
a) The hard palette
b) Root of the tongue
c) Palato-glossal fold
d) Plato-pharyngeal
e) The soft palette

8. Which of the following arteries is not involved in the blood supply of the throat ?**
a) Tonsillitic branch of the facial artery
b) Ascending Palatine artery
c) Descending Palatine artery
d) Ascending pharyngeal artery
e) Inferior thyroid artery

9. What is the length of the pharynx of an adult?


a) 12-14 cm
b) 10-12 cm
c) 14-16 cm
d) 8-12 cm
e) 11-15 cm

Beyond
10. At which vertebra level the pharynx ends starting with the base of the skull?
a) 5-6
b) 4-5
c) 7-8
d) 2-4
e) 3-4

11. What muscle lift the soft palate ?


a) M.levator veli palatini
b) M.palatoglossus
c) M.palatopharyngeus
d) M.tensor veli palatini
e) M.uvulae

12. What anatomical structures are found in the nasopharynx ?


a) All below
b) Nasopharyngeal tonsil
C) Eustachian tube opening
D) Tubal tonsils
E) Fossa of Rosenmü ller

13. What is the mucous coat of the nasopharynx arch covered with?
A) Multilayer cylindrical ciliated epithelium
B) Single-layer Clat epithelium
C) Multilayer squamous epithelium
D) None of those
E) Cubic epithelium

14. What is mucous coat of nasopharynx arch covered with?


A) mul6layer squamous epithelium
B) mul6layer cylindrical ciliated epithelium
C) none of those
D) a single-layer flat epithelium

Beyond
E) cubic epithelium

15. Which method is not used for the nasopharynx examina6on?


A) posterior rhinoscopy
B) anterior rhinoscopy
C) Endoscopy
D) X-ray
E) digital examina6on

16. Where is the pharyngeal tonsil found?


A) oropharynx
B) None of those
C) root of the tongue
D) nasopharynx
E) laryngopharynx

17. What nega6ve pressure is formed inside the mouth while sucking?**
A) 150 mm Hg
B) 250 mm Hg
C) 200 mm Hg
D) 300 mm Hg
E) 100 mm Hg

18. What structures form the fauces?


A) the root tongue
B) the soU palate
C) uvula
D) anterior and posterior pala6ne arches
E) all below

19. Which tonsils are found in the oropharynx?


A) tubal tonsils

Beyond
B) solitary follicles
C) adenoids
D) pala6ne tonsils
E) lingual tonsil

20. What does adenoid vegeta6on mean?


A) nasopharyngeal tonsil hypertrophy
B) atrophy of the pala6ne tonsils
C) tubal tonsils enlargement
D) nasopharyngeal tonsil inflamma6on
E) the Jacobson organ of septum

21. What separates the pala6ne tonsils from the lateral wall of the pharynx?
A) is not connected
B) fascia
C) mul6layer squamous epithelium
D) muscles
E) capsule

22. What is the main func6on of the tonsils?


A) enzyma6c func6on
B) all below
C) lymphopoesis
D) elimina6on func6on
E) synthesis of immunoglobulins

23. How is the space between the capsule of the tonsils and the pharynx muscles
called?
A) peripharyngeal
B) peritonsillar
C) retropharyngeal
D) none of these
E) lateropharyngeal

24. What are the crypts on the surface of the pharyngeal tonsils called?

Beyond
A) lacuna
B) trabeculae
C) bed
D) follicles
E) tonsils’ pole

25. Which arterial pool supplies the tonsils with blood?


A) none of these
B) internal caro6d artery
C) vertebral artery
D) the external caro6d artery
E) common caro6d artery

26. What forms the back wall of the retropharyngeal space?


a. prevertebral fascia
b. mm. levatores pharyngis
c. none of these
d. fibrous layer
e. mm. tensor soU palate
27. What nerve provides motor innerva6on of the upper part of the pharynx?
a. n. glossopharyngeus*
b. n. vagus
c. n. trigeminus
d. n. facialis
e. n. trochlearis

28. What nerve provides sensory innerva6on of the upper part of the pharynx?
A) n. glossopharyngeus
B) the second branch of n. trigeminus
C) n. facialis
D) n. vagus
E) n. accessories

29. What nerve provides motor innerva6on of the soU palate?

Beyond
A) n. glossopharyngeus
B) n. facialis
C) n. accessories
D) n. trigeminus
E) n. vagus

30. How is the recess in the upper pole of the tonsils called?**
A) plica triangularis
B) Gize pit
C) vallecula
D) sinus Tourtuali
E) fossa Rosenmüller

31. Which of the following is not a func6on of the pharynx?


A) respira6on
B) resonator
C) olfac6on
D) protec6on
E) speech

32. What belongs to the lymphadenoid pharyngeal ring (Waldeyer’s-Pirogov)?


A) tubal tonsils
B) pala6ne tonsils
C) nasopharyngeal tonsil
D) lingual tonsil
E) all below

33. Which of the tonsils has a capsule?


A) palatal
B) nasopharyngeal
C) lingual
D) pipe
E) all of these

Beyond
34. What does not apply to the func6ons of the tonsils?
A) par6cipate in the forma6on of immunity
B) An elimina6on func6on
C) lymphopoiesis
D) erythropoiesis
E) enzyme func6on

35. What method can you use to explore the nasopharynx?


A) mesopharingoscopy
B) otoscopy
C) laryngoscopy
D) epipharingoscopy
E) rhinoscopy

36. How many tonsils are involved in Valdeyyer -Pirogov ring forma6on?
A) 6
B) 7
C) 4
D) 5
E) 3

37. What muscles constrict throat?


A) M.constrictoris pharingei superiror, media et inferior
B) M.styloglossus, m.palatoglossus
C) M.tensor veli pala6ni, m.salpingopharingeus
D) M.levator veli pala6ni, m.palatoglossus
E) M.styloglossus, m.salpingopharingeus

38. Which of the following does not refer to lymphadenoid pharyngeal ring?
A) unpaired pharyngeal tonsils
B) paired tubal tonsils
C) unpaired lingual tonsil
D) cervical lymph nodes
E) paired tonsils

Beyond
39. Which of the following does not apply to the wall of pharynx?
A) periosteal
B) connec6ve
C) muscle
D) fibrous
E) mucosa

40. How many parts pharynx divided to?


A) three
B) six
C) two
D) five
E) four

41. What is the choana?


A) inferior part of the superior meatus
B) inferior part of the middle meatus
C) inferior part of the inferior meatus
D) It is the aperture which communicate nose with the nasapharynx
E) anterior part of the inferior meatus

42. Where does the flow the blood from external nose?
A) v. oUalmicus
B) v. lingualis
C) v. thriodeus
D) v. facialis
E) v. head-neck

43. Which wall of nasal cavity does the vomer make?


A) lateral
B) superior
C) medial
D) none

Beyond
E) inferior

44. In which wall the nasal turbinates of the nasal cavity locate?
A) inferior
B) lateral
C) superior
D) medial
E) anterior

45. What does not belong to the lateral wall of nasal cavity?
A) medial surface of alar major of sphenoid
B) perpendicular plate of pala6ne bone
C) frontal process of maxilla
D) nasal bone
E) lacrimal bone

46. What does not belong to the superior wall of nasal cavity?
A) sphenoid bone
B) one part of nasal bone
C) pala6ne bone
D) ethmoid bone
E) sphenoid and ethmoid bone

47. Which turbinates are there in the nasal cavity?


A) superior, inferior, lateral
B) medial, lateral
C) only superior and inferior
D) inferior, middle, superior
E) only inferior and middle

48. What is common examined during anterior rhinoscopy?


A) only medial turbinate
B) superior turbinate

Beyond
C) only inferior turbinate
D) superior meatus
E) nasal septum, inferior and middle turbinate

49. Where does the nasolacrimal duct open?


A) to superior nasal meatus
B) to general nasal meatus
C) to spheno-ethmoidal zone
D) to middle nasal meatus
E) to inferior nasal meatus

50. What open to the middle nasal meatus?


A) nasolacrimal duct
B) anterior and middle ethmoid cells, frontal and maxillary sinuses
C) all paranasal sinuses
D) sphenoid sinus
E) posterior cells of ethmoid labyrinth

51. What opens to the superior nasal meatus?


A) frontal sinus
B) all ethmoid cells
C) nasolacrimal duct
D) maxillary sinus?
E) posterior ethmoid cells, sphenoid sinus

52. Where is ‘Kisselbach’s plexus’ in the nasal cavity situated?


A) on the middle nasal turbinate’s mucosa
B) on the inferior nasal turbinate’s mucosa
C) on the superior part of nasal septum
D) on the anterior-inferior part of nasal septum
E) in the deep of nasal cavity

53. How does the molecule of smelling substances call?


A) otokini6s

Beyond
B) odorivectors
C) otoliths
D) endoporfirins
E) opsonins

54. Which of these does not belong to the basic special6es of nose?
A) taste
B) olfac6on
C) protec6on
D) resonance
E) breathing

55. From what nasal meatus does the main part of air flowing pass during
inspira6on?
A) general
B) superior
C) middle
D) inferior
E) middle and superior

56. What is Parosmia ?


A) par6al loss of sense of smell
B) total loss of sense of smell
C) hallucina6on of smell
D) increase sense of smell
E) perversion of sense of smell
57. Which of these belongs to the lower respiratory tract:
A) paranasal sinuses
B) larynx
C) nose
D) pharynx
E) bronchus

58. Which epithelium fulfill conduc6on-transport func6on in the nasal cavity ?

Beyond
A) ciliar
B) cuboid
C) olfac6on
D) squamous
E) transi6on

59. Which nerve fibers goes through the lamina cribrosa of ethmoid bone?
A) vagusnetve
B) olfactory nerve
C) fist branch of trigeminal nerve
D) facial nerve
E) second branch of trigeminal nerve

60. What is the main func6on of nasal septum?


A) resonator
B) to divide two parts of nasal cavity
C) olfac6on
D) protected
E) respira6on

61. What is located in the ‘lamina propria’ of inferior nasal turbinate?


A) arterial plexus
B) mixed vessel plexus
C) olfactory cells
D) cavernous venous plexus
E) capillary vessel
62. Where is the most ac6ve mucociliary clearance part of nasal cavity mucosa?
A) inferior conchae
B) in the deep of nasal meatus
C) middle conchae
D) superior conchae
E) nasal septum

Beyond
63. What is the func6on of cavernous venous plexus in nasal cavity?
A) warming
B) respira6on
C) resonance
D) transmission
E) humidifying

64. What muscle raises the soU palate and constrict nasopharyngeal hole of auditory
tube?
A) M. Palatoglossus
B) M. tensos veli pala6ni
C) M. Palatopharyngeus
D) M. levator veli pala6ni
E) None of the above

65. What forms the front wall of the nasopharynx?


A) pharyngeal tonsils
B) opening of auditory tube
C) tube tonsils
D) choanae
E) none

66. Which of the following are paired tonsils?


A) nasopharyngeal and tube
B) lingual and tube
C) nasopharyngeal and lingual
D) pala6ne and tube
E) pala6ne and lingual
67. Which of the endocrine glands is closely related with pharyngeal lymphoid ring?
A) pituitary
B) thyroid gland
C) all
D) adrenal gland
E) thymus

Beyond
68. Where are the pharyngeal opening of auditory tubes disposed?
A) at the posterior edge of the inferior turbinate
B) superior turbinate level
C) on the posterior third of the middle turbinate
D) in the superior nasal meatus
E) on the border of the upper and posterior wall of nasopharynx

69. Which is the largest paranasal sinus?


A) ethimoid
B) frontal
C) maxilla
D) sphenod
E) anterior cells of ethmoidlabyrinth

70. Which paranasal sinus is border with pterygopala6ne fossa?


A) sphenodalae
B) maxillar
C) frontal
D) anterior cell of ethmoidal labyrinth
E) labyrinthusethmoidalis

71. Which wall of maxillary sinus situated the fossa canina?


A) inferior
B) superior
C) posterior
D) medial
E) anterior

72. Which wall of maxillary sinuses situated the nasolacrimal canal?


A) anterior
B) medial
C) posterior
D) inferior

Beyond
E) superior

73. What is the thinnest wall of maxillary sinus?


A) medial
B) inferior
C) anterior
D) posterior
E) superior

74. Which wall of maxillary sinus located n. infraorbitalis?


A) superior
B) medial
C) anterior
D) posterior
E) inferior

75. What is the posterior wall of maxillary sinus?


A) sphenoid bone
B) corpus of maxilla
C) alveolar process
D) zygoma6c process of maxillary bone
E) tuber maxillae

76. Which nerve canal pass through the orbital wall of maxillary sinus?
A) trigeminal nerve
B) vidian nerve
C) ethmoidal nerve
D) olfactory nerve
E) infraorbital nerve

77. Where are opening the maxillar sinus?


A) superior nasal meatus
B) common nasal meatus

Beyond
C) middle nasal meatus
D) inferior nasal meatus
E) spheno-ethimoidal area

78. Which wall of maxillary sinus is formed by the alveolar process?


A) posterior
B) superior
C) medial
D) anterior
E) inferior

79. Where is the situated the natural os6um of maxillary sinus ?


A) inferior wall
B) medial wall
C) posterior wall
D) anterior wall
E) superior wall

80. Where does mucous toward in the maxillary sinus ?


A) to the deep of the sinus
B) from thedeep of the sinus
C) from front to back
D) from the natural os6um of the sinus
E) to the natural os6um of maxillar sinus

81. Which paranasal sinus is not valid?


A) temporal sinus
B) frontal
C) ethmoid
D) maxilla
E) sphenoid

82. Cells of ethmoidale labyrinth situated symmetrically:


A) only childen

Beyond
B) only adults
C) no
D) only older
E) yes

83. Which cranial fossae bordered by ethmoid labyrinth?


A) anterior and middle
B) anterior
C) middle
D) posterior
E) middle and posterior

84. How many ethmoidal cells in adults?


A) 8-10
B) 20-40
C) 40-60
D) 3-5
E) 24

85. Which voices creates the resonance of ethmoid labyrinth cells?**


A) lower tone
B) high tone
C) not par6cipa6ng in the resonator func6on
D) high and low tone
E) only low tone

86. Where is opening os6um of posterior ethmoid cells?


A) to the choanae
B) to the superior nasal meatus
C) to the middle nasal meatus
D) spheno-ethmoidal area
E) to the inferior nasal meatus

87. What nasal meatus relates cells of ethmoid sinuses with nasal cavity?

Beyond
A) only superior
B) middle
C) only inferior
D) middle and superior
E) inferior and middle

88. What is the most deserve examine methods of ethmoid labyrinth?


A) Contrast X-ray
B) nasal endoscopy
C) X-ray examina6on
D) Computer tomography
E) Diaphonoscopy

89. What sinuses take part in resona6on func6on of nose?


A) sphenoid sinus
B) posterior cells of ethmoid labyrinth
C) maxillary
D) frontal sinus
E) all paranasal sinuses

90. With which nerve does the posterior cells of ethmoid labyrinth bordered?
A) trochlear nerve
B) abduces nerve
C) oculomotorius nerve
D) op6c nerve
E) trigeminal nerve

91. Thickest wall of frontal sinus:


A) inferior
B) posterior
C) medial
D) anterior
E) superior

Beyond
92. In what wall of frontal sinus there is not sponge 6ssue and consist only compact
6ssue?
A) inferior
B) medial
C) posterior
D) anterior
E) superior

93. What cranial fossa borders on frontal sinus?


A) inferior
B) anterior and middle
C) anterior
D) middle and posterior
E) middle

94. In what wall of frontal sinus is foramen of nasofrontal duct?**


A) posterior
B) anterior
C) medial
D) inferior
E) superior

95. In which bone does frontal sinus locate?


A) sphenoid sinus
B) ethmoid sinus
C) pars squamosal of frontal bone
D) pars squamosal of temporal bone
E) corpus maxillaries

96. Which labyrinth liquid has the rela6on with the subarachnoid space?
A) Both
B) None
C) Endolymph

Beyond
D) Cor6lymph
E) Perilymph

97. Which nerve canal pass through the orbital wall of maxillary sinus?
A) trigeminal nerve
B) vidian nerve
C) ethmoidal nerve
D) olfactory nerve
E) infraorbital nerve

98. Which anatomic structure joins the tympanic cavity with the nasopharynx?
A) Oval window
B) Internal auditory canal
C) Round window
D) External
E) Auditory tube

99. What separates the border of the orbit and nasal cavity?
A) Nasafrontal canal
B) Foramen supraorbitalis
C) Lamina papyracea
D) Lamina cribrosa
E) Perpendicular plate of ethmoid bone

100. In which wall does the sphenoid sinus’s os6um locate?


A) posterior wall
B) superior wall
C) inferior wall
D) anterior wall
E) lateral wall

101. Where is the sphenoid sinus situated?


A) body of frontal bone
B) body of sphenoid bone

Beyond
C) body of frontal bone
D) body of maxillary bone
E) ethmoid labyrinth

102. What wall of sphenoid sinus border on hyphophys ( pi6utrin gland) ?


A) inferior
B) lateral
C) superior
D) anterior
E) posterior

103. Which paranasal sinus borders with the tree cranial fossas on?
A) frontal
B) anterior cells of ethmoid labyrinth
C) sphenoid
D) posterior cells of ethmoid labyrinth
E) maxillary sinus

104. Where does the natural os6um of sphenoid sinus open?


A) middle nasal meatus
B) spheno-ethmoid region of superior nasal meatus
C) choanae
D) general nasal meatus
E) inferior nasal meatus

105. The most common causes of septum hematoma:


A) vasotomy
B) the damaging nasal septum with spoiling of the completeness nasal
septum mucosa
C) the damaging of nasal septum without spoiling of nasal mucosa’s
completeness
D) viral disorder
E) infec6on disorder

Beyond
106. The main symptoms of nasal septal hematoma:
A) the loosing of smell
B) the difficulty of nasal respira6on
C) nasal hemorrhage or bleeding
D) purulent rhinorrhea
E) deforma6on of external nose

107. What is the base method to examine the nasal septum hematoma?
A) palpa6on of nasal bones
B) X-ray exam
C) anterior rhinoscopy
D) bacteriological examina6on
E) posterior rhinoscopy

108. What is used in the treatment of the septal hematoma?


A) anemiza6on of nasal mucosa
B) punc6on and aspira6on of blood
C) submucosal resec6on of nasal septum
D) hemosta6c therapy
E) physiotherapy

109. Most informa6ve method for diagnosis of abscess of nasal septum:


A) X-ray exam of nasal bones
B) posterior rhinoscopy
C) anterior rhinoscopy and punc6on of swelling
D) CT-scan
E) middle rhinoscopy

110. What is done in the treatment of nasal septum abscess?


A) anterior tamponade of nose
B) punc6on of abscess
C) conserva6ve treatment

Beyond
D) Physiotherapy
E) Incision and drainage

111. It is not the cause for the forma6on of septal perfora6on:?


A) abscess of nasal septum
B) thirdly syphilis
C) rood surgical interven6on to the nasal septum
D) acute supura6ve maxillar sinusi6s
E) ozena

112. What is the reason of the nasal septum perfora6on?


A) longterm keeping anterior tamponed
B) rood surgical interven6on to the nasal septum
C) punc6on of maxillar sinus
D) longterm keeping posterior tamponed
E) acute supura6ve maxillar sinusi6s

113. Indicate the reducing of sense of smell:


A) anosmia
B) hyperosmia
C) parosmia
D) hyposmia
E) normosmia

114. What is hyposmia?


A) perversion of smelling
B) hallucina6on of smelling
C) increase of smelling
D) total loss of smelling
E) decrease of smelling

Beyond
115. What is anosmia ?
A) par6al loss of sense of smell
B) total loss of sense of smell
C) hallucina6on of smell
D) increase sense of smell
E) perversion of sense of smell

116. What is excluded during submucosal resec6on of nasal septum?


A) alar car6lage
B) devia6on part of quadrangular car6lage and bony part of septum
C) triangle car6lage
D) nasal septum’s near part car6lage to nasal dorsum
E) sesamoid car6lage

117. What is the nasal cavity’s synechia?


A) bony spur of superior part of nasal cavity
B) polypoid deriva6ve of nasal septum
C) scar 6ssue between nasal cavity and lateral wall*
D) sclero6zed part of nasal cavity’s mucosa
E) car6lage spur of inferior part of nasal cavity

118. What does inferior wall of orbit border on?


A) with ethmoid labyrinth cells
B) with maxillary sinus*
C) with frontal sinus
D) with nasal cavity
E) with sphenoid sinus

119. What does superior wall of orbit border on?


A) with maxillary sinus
B) with frontal sinus
C) with ethmoid labyrinth cells
D) with nasal cavity
E) with sphenoid sinus

Beyond
63. What is formed during the using of conges6on drops for a long 6me?
A) chronic atrophic rhini6s
B) allergic rhini6s
C) vasomotor rhini6s
D) ozena
E) chronic hypertrophic rhini6s

64. What does the restora6on of nasal breathing supply in newborns?


A) normal feedingB) all counts
C) preven6ng inflamma6on of auditory tube and middle ear
D) calm sleeping
E) normal func6on of stomach – intes6nal tract

65. That does not belong to the e6ology of secondarily atrophic rhini6s?
A) environmental nega6ve factors
B) diabe6c - mellitus
C) damages of nasal mucosa
D) chronic tonsilli6s
E) broad surgical interven6on of nasal cavity

66. What is used in the treatment of the atrophic rhini6s?


A) bismuth drugs
B) vasoconstrictors
C) protorgol solu6ons
D) vitamin A, E, iodine solu6ons
E) euphyllini

67. The specialty of secre6on in the allergic rhini6s:


A) a small amount
B) many mucous and serous
C) foul smell
D) purulent
E) hemorrhagic

Beyond
68. That is not the symptom of the allergic form of vasomotor rhini6s:
A) nasal conges6on
B) viola6on of sense of smell
C) paroxysmal sneezing
D) pharyngeal pain
E) rhinorrhea

69. With this pathway rhinogenic intracranial complica6on does not happen:
A) contact
B) limphogenic
C) perineural
D) typanogenic
E) hematogenic

70. It is not characteris6c for the cavernous sinus thrombosis?


A) normal temperature
B) odema of eyelid
C) chemosis of conjunc6va
D) egzophtalm
E) stasis or odem of the disc of op6c nerve

71. It is not the meningeal symptom:


A) Kernig
B) Brudzinskiy
C) Ortner
D) neck rigidity
E) Babinskiy

72. Necessary examina6on method during rhinogenic cerebral abscess:


A) CT-scan and MRI or cerebral brain
B) electroencephalography
C) audiometry
D) impedancometry
E) olphactometry

73. Where punctured the maxillary sinus?


A) superior nasal meatus
B) middle nasal meatus
C) deep the nasal cavity

Beyond
D) anterior wall
E) inferior nasal meatus

74. Which is the less informa6ve method for diagnosis of sphenoid sinusi6s?
A) CT –scan of paranasal sinuses
B) MRI of paranasal sinuses
C) posterior rhinoscopy
D) endoscopic examina6on
E) anterior rhinoscopy

75. Most common complica6on during puncture of maxillary sinus?


A) puncture of palate
B) puncture of alveoli
C) damage of sphenoid sinus
D) puncture of middle turbinate
E) puncture of orbit

76. What is the hemisinusi6s?


A) inflamma6on of all sinuses in one side
B) bilateral frontal and sphenoid sinusi6s
C) bilateral ethmoid sinusi6s
D) inflamma6on of all sinuses
E) maxillary and ethmoidal sinusi6s

77. What is the pansinusi6s?


A) inflamma6on of all paranasal sinuses
B) frontal and sphenoid sinusi6s
C) bilaterally maxillary sinusi6s
D) maxillar and ethmoid sinusi6s
E) unilaterally inflamma6on of all sinuses

78. The treatment method of maxillary sinusi6s:


A) puncture of frontal sinus
B) using of diure6c
C) endoscopic ethmoidotomy
D) using of hemosta6c
E) punc6on of maxillary sinus

79. Which teeth of maxillary bone may be the cause of maxillary sinusi6s?

Beyond
A) 5, 6, 7
B) 2, 3
C) 8
D) 1,2
E) 3, 4

80. Most op6mal temporary surgical interven6on to the sphenoid sinus during
sphenoidithis?
A) endoscopic
B) Danker method
C) Rimer – Yansen method
D) Caldwell – Luc method
E) Ivanov method

81. The most common symptom in acute maxillar sinusi6s?


A) all counts
B) oedema of nasal mucosa (difficulty of nasal breathing)
C) pain on the ill side of maxillary sinus and headache
D) viola6on of sense of smell
E) pus in the middle meatus

82. What morphologic form is not characteris6c to sinusi6s?


A) exuda6ve (purulent)
B) wall- marginal hyperplas6c
C) cholestheatomatous
D) polypoid
E) papillamatous

83. What is not used in the treatment of acute rhinosnusi6s?


A) diure6cs
B) an6histaminic drugs
C) physiotherapy
D) decongestants
E) an6bio6cs

84. Local causes of sinusi6s:


A) acute rhini6s
B) adenoid vegeta6on
C) chronic rhini6s

Beyond
D) deviated nasal septum
E) all counts

85. Which of the following nerves are involved in the innerva6on of the mucous
membrane of the larynx?
A) glossopharyngeal nerve
B) superior laryngeal nerve
C) hypoglossal nerve
D) lower laryngeal nerve
E) The trigeminal nerve

86. Which of the given below muscles groups recurrent nerve innervates?
A) neck muscles
B) lingual muscles
C) external laryngeal muscles
D) pharyngeal muscles
E) internal laryngeal muscles

87. Which of these doesn’t include to the structures of the middle ear?
A) E.A.C (external auditory canal)
B) Mastoid Process
C) Auditory tube
D) Antrum
E) Tympanic cavity

88. What does the upper wall of the tympanic cavity border on?
A) Anterior cranial fossa
B) Auditory tube
C) Posterior cranial fossa
D) Middle cranial fossa
E) Bulbous of jugular vein

89. On which wall of the tympanic cavity is the hole of auditory tube?
A) Inferior
B) Posterior
C) Anterior
D) Superior
E) Internal

Beyond
90. On which wall of the tympanic cavity are the aditus ad antrum situated?
A) Superior
B) Anterior
C) Posterior
D) Medical
E) Inferior

91. What doesn’t belong to the landmarks of the tympanic membrane during
otoscopy?
A) Manubrium mallei
B) short process of mallei
C) Anterior and posterior folds
D) Cone of light
E) Helix

92. What does the pars tensa of the tympanic membrane differ from the pars
flaccida?
A) Absence of epidermal layer
B) Presence of mucosal layer
C) Presence of fibrous layer
D) Only presence of fibrous layer
E) Absence of mucosal layer

93. Which anatomic structures the external ear be arranged?


A) Internal auditory canal and tympanic cavity
B) Tympanic cavity
C) Mastoid process
D) Auricul and external auditory canal
E) Hearing ossicles

94. In which anatomic part of auricle does not exist car6lage?


A) helix
B) lobule
C) tragus
D) An6helix
E) helix pelvis

95. Which of the following spaces does the upper wall of the external auditory canal
border on?

Beyond
A) Temporo-mandibular joint
B) Posterior cranial fossa
C) Anterior cranial fossa
D) Tympanic cavity
E) Middle cranial fossa

96. Which of the followings does the posterior wall of the external auditory canal
border on?
A) Paro6d glandular
B) Mastoid process
C) Middle cranial fossa
D) Posterior cranial fossa
E) Temporomandibular joint

97. In which part of the external auditory canal does furuncle form?
A) Car6lage and bony parts
B) Car6lage part
C) Bony part
D) Furuncle does not form in the external auditory
E) Isthmus of external auditory canal

98. Why does coughing happen when we enter the ear speculum into the external
auditory canal?
A) Trigeminal nerve
B) Glossopharyngeal nerve
C) At the result of irrita6on of vagal nerve
D) Chorda 6mpani
E) Sympathe6c nerves

99. Why do we keep the thread in the mouse during posterior tamponade?
A) preven6ng of asphyxia
B) needn’t anything
C) for taking out the tampon
D) fixa6on of tampon
E) all counts

100. What may be the result of the staying of tampon in the nasopharynx during
posterior tamponed for a longterm?
A) pneumonia

Beyond
B) bronchi6s
C) acute supura6ve o66s media, sinusi6s
D) sensorineural hearing loss
E) nasal septum devia6on

101. The dura6on of dry irrita6on stage in acute rhini6s:


A) 30 minutes -2 hours
B) 1 week
C) 5 days
D) 3-4 days
E) from any hours to 1-2 days

102. How many stages are there in the acute rhini6s?


A) 3
B) 4
C) 5
D) 2
E) 6

103. How is the first stage of acute rhini6s called?


A) dry irrita6on
B) mucopurulent rhinorrhea
C) none symptom
D) serous irrita6on
E) latent

104. What is not used during anterior part of bleeding of nasal cavity?
A) coagula6on of vessel
B) anterior tamponade
C) posterior tamponed
D) inser6on of 3% hydrogen peroxide wet to the nasal cavity
E) pressing nasal valve to the septum

105. When specific immunotherapy is doing during allergic rhini6s?


A) if an6histamines using are effectless
B) when hormonal drugs are effectless
C) aUer exactly determining allergen
D) allergic rhini6s with purulent- polyposis sinusi6s
E) during acute stages of disorder

Beyond
106. How long is anterior tamponed put?
A) 24 hours
B) 7-10 hours
C) 24-72 hours
D) 2 hours
E) 10- 72 hours

107. What must be done during powerful nasal hemorrhages?


A) anterior and posterior tamponed of nasal cavity
B) surgical diathermy
C) galvanocautheriza6on
D) inser6on of 3% hydrogen peroxide wet to the nasal cavity
E) chemical coagula6on

108. How is the measure of tampon determined for the posterior tamponed?
A) approximately
B) the size which determined during digital examina6on of nasopharynx
C) the size of distal phalanges of both tes6mony fingers
D) the size of distal phalanges of both thumb fingers
E) the size of distal phalanges of both limle fingers

109. What is the necessary for doing posterior tamponed?


A) thin rubber tube and catheter
B) the posterior tampon closed with silk thread
C) the wet for anterior tamponed
D) nasal forcep and Hartmann
E) all counts

124. How many walls have the tympanic cavity?


A) 5
B) 4
C) 2
D) 3
E) 6

163. Where does the frontal sinus open?


A) superior nasal meatus

Beyond
B) chonae
C) general nasal meatus
D) inferior nasal meatus
E) middle nasal meatus

164. What cells is Cor6 organ consisted of?


A) Goblet cell
B) Epile6al cells
C) Squamous epitelium
D) Hair cells
E) Cubic epile6al

165. What does inferior wall of frontal sinus mainly border on?
A) ethmoid labyrinth
B) pterygopala6n fossa
C) choanae
D) orbit
E) nasal cavity

166. Which wall of frontal sinus border on orbit?


A) inferior
B) medial
C) anterior
D) posterior
E) superior

169. What is the main role in the e6opathogenesis of nasal furuncle?


A) decreasing of local immunity of skin and general organism
B) presence of atrophic process in the nasal cavity
C) climate factor
D) micro traumas of skin during itching
E) inflamma6on of nasal cavity

170. What is the e6ology of nasal furuncule?


A) blue-green pus s6cks
B) staphylococcus
C) herpes virus
D) allergy

Beyond
E) micoplazma

171. What is the nasal furuncle?


A) acute inflamma6on of hair follicle
B) inflamma6on of epidermis
C) acute inflamma6on of mucosal 6ssue
D) acute inflamma6on of frontal sinus
E) acute inflamma6on of submucosal gland

172. What is the main role of the pathogenesis of the nasal furuncle?
A) exuda6on
B) decreasing of vascular conduc6vity
C) thrombi of small blood vessels
D) infiltra6on
E) increasing of vascular conduc6vity

173. When does incision should be done during nasal furuncle?


A) infiltra6on stage
B) healing stage
C) all stages
D) abscessing stage
E) not done

174. The indica6on to the surgery of septum devia6on:


A) chronic tonsilli6s
B) viola6on of olfac6on
C) atrophic rhini6s
D) difficulty of nasal respira6on
E) acute rhini6s

175. How it is called two or more furuncles containing?


A) carbuncles
B) furunculous
C) siccoz
D) os6ofolliculit
E) erysipelas

176. What is not used in the treatment of nasal furuncle?


A) aspirin

Beyond
B) supras6n
C) vishnevskiy ointment
D) naphthyzin
E) erythromycin

177. Main causes of erysipelas:


A) streptococcus
B) herpes virus
C) fungal
D) staphylococcus
E) mycoplasma

178. Which of these is the ves6bular analyzer`s adequate irrita6on?


A) Sound waves
B) Electromagne6c waves
C) Accelera6on
D) Light
E) Smell structures

179. Beginning from the tympanic membrane orderly show the hearing ossicles?
A) incus, malleus, stapes
B) stapes,incus, malleus,
C) incus, stapes, malleus
D) malleus, incus, stapes
E) stapes, malleus, incus

181. It does not belong to the rhinogenic orbital complica6on:


A) retrobulbar abscess
B) orbital soU 6ssue abscess
C) epidural abscess
D) subperiostal abscess of orbita
E) eyelid abscess

182. What is the total loss of sense of smell?


A) ozena
B) hyperosmia
C) hyposmia
D) anosmia

Beyond
E) parosmia

183. Where is the epistaxis mostly happens?


A) on posterior-inferior part of nasal septum
B) on posterior-superior part of nasal septum
C) on the middle turbinate
D) on anterior- inferior part of nasal septum
E) on the inferior turbinate

184. What does not belong to the complex therapy of allergic rhini6s?
A) longterm using nasoconstrictor drops
B) special immunotherapy
C) individual methods for preven6ng allergen factors affect to the organism
D) local cor6costeroids therapy
E) unspecific hyposensibiliza6on therapy

185. Local causes of epistaxis:


A) atherosclerosis
B) leucosis
C) arterial hypertension
D) trauma
E) haemophylia

186. Which of the following anatomic structures belong to the sound receiving
apparatus?
A) Auricular
B) Cor6 organ
C) External auditory canal, tympanic cavity
D) Hearing ossicles
E) Mastoid process

187. When does occur epistaxis?


A) during influenza
B) nasopharyngeal angiofibroma
C) all counts
D) teleangioectasia
E) cancer of the nasal cavity

188. What is the cause of epistaxis?

Beyond
A) all counts
B) atherosclerosis
C) kidney disorders
D) hypertonic disorder
E) blood disorders

189. Where are the pathological proses going during sensoneurological hearing loss?
A) Tympanic cavity
B) Pars tympanicus of facial nerve
C) External auditory canal
D) Oval window and stapes
E) In the central part of hearing analyzer which exist from cochlear receptors to
the hearing center of the brain

190. What are the main symptoms of the ear wax?


A) Purulent otorhea
B) Disbalance
C) Earache
D) Acute weakening of the hearing when water dropping
E) Increasing temperature

191. What does locate anterior – inferior part of nasal septum?A) kisselbach plexus
B) lympha6c plexus
C) cavernous sinus
D) all counts
E) sinus sigmoideus

192. What liquid is there in the scala tympani?


A) Spinal fluid
B) Plazma
C) Endolymph
D) Perilymph
E) Cor6limpha

193. What may be the cause of nasal hemorrhage ?


A) surgeries and damages in the nasal cavity
B) benign tumors of nasal cavity and paranasal sinuses ( angioma, papilloma)
C) malignant tumors of nasal cavity and paranasal sinuses
D) atrophy and erosion of nasal septum

Beyond
E) all counts

194. During what disorder does not happen symptoma6c nasal bleeding?
A) pneumonia
B) angiofibroma of nasopharynx
C) hypertonic disorder
D) leucosis
E) haemophylia

195. What is used during anterior part of nasal cavity’s bleeding?


A) pressing of nasal alares to the septum and inser6ng 3% hydrogen peroxide wet
to the anterior part of nasal cavity
B) parental injec6on of dibazoli
C) ligatura6on of external caro6d artery
D) posterior tamponed
E) parental injec6on of vikasoli

196. It is not the reason of trauma6c deforma6on of external nose?


A) welfare traumas
B) transporta6on trauma
C) poliartri6s
D) spor6ve traumas
E) military trauma

197. Where does the sound lateralize during Veber trial in unilateral sensoneurological
pathology?
A) Damaged side
B) Frontal
C) Occipital
D) Bilateral
E) Healthy side

198. The purpose of tamponed during reposi6on of external nasal bones:


A) to avoid of synechia
B) stoping epistaxis
C) to avoid hematoma
D) all counts are true
E) fixa6on of broken ac6ve nose

Beyond
199. What is used for the diagnosis of the ethmoid sinusi6s?
A) punc6on of maxillar sinus
B) impedancometry
C) with Stanvers method X-ray exam of temporal bone
D) checking of mucociliar clearance
E) nasal-mandibular projec6on X-ray exam and CT –scan of paranasal sinuses

200. What structural peculiari6es of the auditory tube do exist in the children?
A) Long and 6de
B) Long and wide
C) Short, wide and more horizontal
D) Located sagimal posi6on
E) Ver6cal posi6on

201. It is done during broken with side movement of nasal bones:


A) intuba6on of trachea
B) septoplasty
C) finger reposi6ons
D) rhinoplasty
E) tracheotomy

202. Which of these methods doesn’t include to the ves6bular passport?


A) Romberg posi6on
B) Rinne trials
C) Nose-finger trial
D) Spontaneous nystagmus.
E) Straight and aside walking

203. Broken nose classified:


A) closed, open
B) only open
C) only damaging with mucosal cover
D) only closed
E) only not damaging with mucosal cover

204. If there is the sign of cerebral shaking in the pa6ent with the breaking of nasal
bones tac6c should be:
A) postponement reposi6on of nasal bones (5-6 days)
B) urgent reposi6on of nasal bones

Beyond
C) punc6on of sphenoid sinus
D) trepana6on of cranium
E) hemosta6c therapy and urgently reduc6on of nasal bones

205. If there is the suspicion of breaking skull base in the pa6ent of breaking nasal
bones what does the treatment begin with?
A) urgently reconstruc6on of nasal bones
B) trepana6on of cranium
C) amen6vely observing
D) an6shock therapy
E) spinal puncture (for reveal the hemorrhage in the subarachnoid space)

206. Indica6on during odontogenic maxillary sinusi6s:


A) ethmoidotomy
B) haymorotomy
C) frontotomy
D) only tooth extrac6ng
E) sphenoidotomy

207. In which direc6on auricle must be drawn during otoscopy in the children?
A) Inferior and anterior
B) Superior-posterior
C) Superior and anterior
D) Straightly
E) inferior-posterior

208. Surgical treatment of maxillary sinusi6s:


A) sphenoidotomy
B) pus evacua6on with Proet’s exchange method
C) frontotomy
D) ethmoidotomy
E) Caldwell – Luc method surgery

209. The main pathway of infec6on during rhinogenic orbital complica6on:


A) perineural
B) contact
C) lymphogenic
D) trauma6c
E) hemathogenic

Beyond
210. What nerve generally provides motor innerva6on of larynx?
A. upper laryngeal nerve
B. glossopharyngeal nerve
C. accessory nerve
D. hypoglossal nerve
E. recurrent nerve

211. It is not rhinogenic orbital complica6on:


A) retrobulbar abscess
B) subdural abscess
C) flegmona of orbital soU 6ssue
D) reac6ve edema of eyelid and orbital soU 6ssue
E) eyelid abscess

212. Which paranasal sinuses is oUen damaged with primarily malignant tumors?
A) sphenoid
B) same incidance
C) maxillary
D) frontal
E) ethmoid

213. Which method is not used for the nasopharynx examina6on?


A) posterior rhinoscopy
B) anterior rhinoscopy
C) Endoscopy
D) X-ray
E) digital examina6on

214. Specify external muscles of larynx?


A) m.thyrohyoideus, m.pos6cus, m.thyroarytenoideus
B) m.sternohyoideus, m.sternothyroideus, m.pos6cus
C) m.sternothyroideus, m.thyrohyoideus, m.cricoarytendenous lateralis
D) m.sternohyoideus, m.sternothyroideus, m.thyrohyoideus
E) m.arytenoideus transversus, m.thyroarytenoideus, m.thyrohyoideus

215. What is the adequate irritant for otolit apparatus?


A) Angular accelera6on
B) Non-linear accelera6on

Beyond
C) Light
D) Sound
E) Gravita6on and linear accelera6on

216. What is not characteris6c to the vasomotor rhini6s?


A) nasal bleeding
B) hardness of nasal breathing
C) odema of nasal turbinate
D) mucoid secre6on
E) sneezing

217. About what part’s ac6vity of the ear does inform with otoacous6c emission
method?
A) External auditory canal
B) Middle ear hearing ossicles
C) Internal hair cells
D) Auditory tube
E) External hair cells func6on

216. What does not belong to the method of sinusi6s’ diagnosis?


A) pneumoencephalography
B) CT –scan of nose and paranasal sinuses
C) X-ray exam of paranasal sinuses
D) diagnos6c punc6on of paranasal sinuses
E) endoscopy of nasal cavity

217. What is found on anterior rhinoscopy during ozena?


A) many purulent secre6on
B) pustules
C) grey patches
D) dark brown and yellow –green crusts
E) ulcers

218. Which of the following receptor apparatuses is situated in the semicircular canals?
A) Otolit receptors
B) Crista ampularis
C) Macula
D) Smelling receptors
E) Cochlear apparatus

Beyond
219. What is the ozena?
A) vasomotor rhinit’s form
B) hypertrophic rhinit’s form
C) sinusi6s form
D) acute catharal rhini6s
E) atrophic rhinit’s form

220. Which of these does not exist in the tympanic cavity?


A) Pretympanium
B) Hypotympanium
C) Epitympanium
D) Epi and Mezotympanium
E) Mezotympanium

221. What is used for the diagnosis of the sphenoid sinusi6s?


A) MRI of brain
B) with Shuller method X-ray exam of temporal bone
C) percussion of anterior wall of maxillary sinus
D) nasal-mandibular and axial projec6on X-ray exam and CT –scan of paranasal
sinuses
E) lazer Doppler flowmetry

222. With this pathway rhinogenic intracranial complica6on does not happen:
A) contact
B) limphogenic
C) perineural
D) typanogenic
E) hematogenic

223. Most common complica6on during puncture of maxillary sinus?


A) puncture of palate
B) puncture of alveoli
C) damage of sphenoid sinus
D) puncture of middle turbinateE) puncture of orbit

224. What is the main func6on of the tympanic membrane?


A) Tac6le
B) Keep balance

Beyond
C) Barofunc6on
D) Sound perceiving
E) Sound conduc6on

225. From what distance (meter) people must hear the whispering low voices in
normal?
A) 8 meter
B) 6 meter
C) 2 meter
D) 10 meter
E) 4 meter

226. In which part of nose and paranasal sinus do we oUen meet the osteoma?
A) maxillary sinuses
B) nasal septum
C) frontal and ethmoid sinuses
D) sphenoid sinuses
E) in the floor of the nasal cavity

227. How many stages are separated during malignant tumor of the nose?
A) 5
B) 3
C) 2
D) is not separated
E) 4

228. Where is the higher center of hearing situated?


A) Medial geniculate body
B) Olives
C) In the debt of the 4th ventricle
D) Temporal lobe
E) Inferior colliculus

229. Which pathological process can be caused by aor6c aneurysm, esophageal,tracheal


or mediastenal tumors, pericardi6s, lung apex fibrosis?
A) laryngoparalysis,
B) soU palate paralysis,
C) mimic paralysis,
D) gustatory dysfunc6on

Beyond
E) anesthesia of the larynx

230. What is the name of receptors in utriculus and sacculus?


A) Cor6 organ
B) Otolit and Ampular apparatus
C) Olfactory receptors
D) Ampular part
E) Otolit receptors

231. Which of the following methods is most oUen used in the study of the larynx in
young children?
A) stroboscopy
B) X-ray
C) palpa6on
D) indirect laryngoscopy
E) direct laryngoscopy

232. Which muscle plays a major role in the process of voice?


A) rear crico-arytenoid muscle
B) oblique arytenoid muscle
C) internal thyreo-arytaenoid muscle (voice muscle)
D) transverse arytenoid muscle
E) side crico-arytenoid muscle

233. Which of the following doesn’t belong to the character of spontaneous nystagmus?
A) Registra6on
B) Amplitude
C) Direc6on
D) Plane
E) Power

234. Which anatomical structures behind of larynx?


A) subhyoid muscles
B) thorax lympha6c duct
C) prevertebral plate of cervical fascia
D) pharynx
E) tongue base

235. What is the main sensory nerve of the larynx?

Beyond
A) recurrent nerve
B) accessory nerve
C) glossopharyngeal nerve
D) hypoglossal nerve
E) superior laryngeal nerve

236. To what ear does the sound lateralize during the pathology of sound conduc6on
apparatus in Veber test?
A) Midline
B) No hearing
C) Both ear can hear
D) Healthy side
E) Damaged side

237. What applies to lower floor of the larynx?


A) ventricular (false) and true vocal foldsB) epiglors, aryteno-epiglorc folds,
ventricular (false) vocal folds, morganies
ventricles
C) subglorc area 6ssues
D) true vocal folds (cords) and glors
E) epiglors, true vocal folds (cords) and morganies ventricles

238. What is includes to the middle floor of larynx?


A) epiglors, arytenoepiglorc folds, ventricular (false) vocal folds, morganies ventricles
B) under-fold areas 6ssues
C) ventricular (false) and true vocal folds
D) epiglors, true vocal folds (cords) and morganies ventricles
E) true vocal folds (cords) and glors

239. From what nerve depart superior and inferior laryngeal branch?
A) N. Glossopharyngeus
B) N. Hypoglossus
C) N. Accesorius
D) N. Vagus
E) N. Ves6bulocochlearis

240. What level of cervical vertebras do the upper and lower bound of a larynx
correspond to in adults?
A) IV-VI cervical vertebras

Beyond
B) IV-VII cervical vertebras
C) III-VI cervical vertebras
D) III-V cervical vertebras
E) III-VII cervical vertebras

241. Which signs coincide with furunculous of the external auditory canal that
men6oned below?
A) Disbalance
B) Spontaneous nistaqmus
C) Increasing pain during chewing
D) Mastoidi6s symptoms
E) Narrowing bony part of auditory canal

242. Which of the followings methods is used for research of a larynx?


A) stroboscopic, pharyngoscopy
B) X-ray of the larynx, computer research, pharyngoscopy
C) indirect laryngoscopy, otoscopy
D) indirect laryngoscopy, upper pharyngoscope
E) direct and indirect laryngoscopy

243. Where are the periphery receptors of the ves6bular analyzer situated?
A) Semicircular canals and ves6bul
B) Cochlea
C) Antrum
D) Only semicircular canals
E) Only ves6bul

244. In what quadrant of the tympanic membrane paracentezis must be done? (HelD)
A) Posterior superior
B) Anterior inferior
C) Central
D) Anterior superior
E) Posterior inferior

245. Which of the following methods are applied for the examina6on of the
ves6bular analyzer?
A) Audiometry
B) Caloric trial
C) Olphactometry

Beyond
D) Stroboscope
E) Tympanometry

246. In which wall are the aditus ad antrum of the tympanic cavity situated?
A) Posterior wall
B) Internal wall
C) Superior wall
D) Inferior wall
E) Anterior wall

247. Why Gellee test is applied for?


A) Compara6ve appraising of terms bone and air conduc6vity
B) Checking of mobiliza6on of stapes over the oval window
C) For compara6ve appraising of terms of the bone conduc6on in both ear
D) Checking of mobiliza6on of malleas over the tympanic membrane
E) Determina6on of auditory lateraliza6on

248. Which symptoms are not par6cular for the damage of the ves6bular apparatus?
A) Dizziness, nausea, disbalance, nystagmus
B) Dizziness, nausea, vomi6ng, disbalance, spontaneous nystqamus
C) Dizziness, nausea, vomi6ng
D) Spontaneous nystagmus, disbalance, systemic dizziness
E) Hearing loss, headache, 6nnitus

249. What is the main role of the ves6bular apparatus in the organism?
A) Smell func6on
B) Hearing func6on
C) Taste func6on
D) Keeping balance
E) Vision func6on

250. Which is the adequate irritant of the ampular apparatus?


A) Sound
B) Strong sounds
C) Gravita6on
D) Angular accelera6on
E) Linear accelera6on

251. Show the func6on of the ves6bule apparatus?

Beyond
A) Hearing
B) Hearing and Equilibrium
C) Equilibrium
D) Tac6le
E) Resonance

252. Which results are compared during Rinne test?


A) Both ears air conduc6vity
B) Bony conduc6vity
C) No indica6on compared
D) Whispering distance of speech percep6on
E) Dura6on of bone and air conduc6vity

253. On which wall of the external auditory canal ‘s change has the diagnos6c
importance during mastoidits?
A) Superior
B) Inferior
C) Anterior-inferior
D) Anterior-inferior
E) Posterior-superior

254. Which of the followings belongs to the examine methods of the auditory tube?
A) Otoscopy
B) X-ray
C) Palpa6on
D) Catheteriza6on
E) Rhinoscopy

255. During what diseases in children pain is noted when pressured on the tragus?
A) Inflamma6on of eustachian tube
B) Only middle o66s
C) External and middle o66s
D) Antrithis
E) Only external o66s

256. Which clinically important structures do not exist on the medial wall of the
tympanic cavity?
A) Promontorium
B) Oval window

Beyond
C) Round window
D) Facial nerve
E) Aditus ad antrum

257. Show the examine method of the ear:


A) Larynqoscopy
B) Pharyngoscopy
C) Rhinoscopy
D) Otoscopy
E) Stroboscope

258. Which of following pathway connect spinal cord with ves6bular nucleus?
A) Ves6bule-thalamic way
B) Ves6bule-oculomotor way
C) Ves6bule-spinal way
D) ves6bule-cerebellum way
E) Ves6bule-cor6cal way

259. What func6ons does Cor6 organ fulfill?


A) Sound conduc6ve
B) Sound acceptance
C) Hearing and balance
D) Balance
E) Sound transfer and acceptance

260. Which of the following anatomic structures belong to sound conduc6on apparatus?
A) External auditory canal, tympanic membrane
B) Cor6 organ
C) Auditory Nerve
D) Spiral ligament
E) Ascending ways of hearing

261. What conduc6vity is spoiled (damaged) during the disease of the sound
receiving apparatus?
A) Only bony conduc6vity
B) Only air conduc6vity
C) None
D) Bony and air conduc6vity
E) Bony conduc6vity stays normal, only air conduc6vity damages

Beyond
262. Which tests are used for the examina6on of the func6ons of ampular part of the
ves6bular apparatus?
A) Pneuma6c test
B) K. L. Khilov`s rostrum test
C) Rotary test (Barani)
D) Jelly test
E) V. I. Voyachek`s double rotary test

263. Which element of the sound conduc6on system is damaged during purulent
o66s media?
A) Tympanic membrane
B) Oval window
C) Round window
D) Oval and round window
E) External ear Canal

Open Ques6ons

1. Reason of chronic rhinitis


- Mineral and metal powder
- Flour chalk cotton pool powder
- Septal deviations

2. Class of rhinitis
- Chronic catarrhal rhinitis
- Chronic hypertrophic rhinitis
- Chronic atrophic rhinitis

3. Treatment tactic of vasomotor rhinitis


- Specific immunotherapy
- Unspecific of hypersensitive treatment
- Local corticosteroid therapy

4. Etiology of maxillary sinusitis


- Dysfunction of mucociliary clearance
- Obstruction of sinus ostium
- After prolonged nasotracheal intubation

5. Involve durin acute otitis media


- Tympanic cavity
- Mastoid process
- Eustachian tube

Beyond
6. Stages of acute otitis media
- Pre- perforation
- Perforation
- Post- perforation

7. Specific feature of banal anginas fr0m other classification


- Gen. intoxication symptoms
- Clinical pathological changes found on both tonsils
- Process lasts 7 days

8. Symptoms of scarlatinal angina


- Characteristic rash
- Strawberry tongue
- Filatov triangle

9. Meningeal symptoms during otogen meningitis


- Kernig
- Brudinski
- German

10. Feature of otogen septicoptemia- Spread infection to small circulation


- Metastasis to joints
- Metastisis under skin and abdominal organs

11. Facial truma symptoms


- Orbital hematoma
- Eyelid hematoma
- Deformed facial bones

12. Sup. Wall of nasal cavity direct injury


- CSF rhinorrhoe
- Fracture of cribiform plate
- Epistaxis

13. Frontal sinus trauma


- Asthetic deformity of forhead
- Dysfunction conduct of frontal recess
- CSF leak

14. Injury of cribiform plate


- Fracture of ant. Cranial fossa
- Orbital compli
- Intracranial compli

15. Signs of ant wall fracture of maxillary sinus


- Deform ant. Wall
- Collapse of ant. Wall
- Zygomatic fracture

16. Main signs during the fracture of sphenoid sinus


- Fracture of skull base
- Terminal injury, internal carotid artery
- Injury of optic nerve

17. Paranasal sinus diagnosis


- Imaging study
- Anamnesis
- Nasal endoscopy

18. Indicate obvious nasal fracture signs


- Distortion or bent of ext. nose

Beyond
- Crooked ext. nose
- Nosebleeds

19. Symp. Of skull base fracture


- Subarachnoid hemmorage
- Unconscious and deafness
- Glass symptom

20. Treatment tactic during nasal soft tissue injuries- I- wound treatment
- Stop bleeding
- Suturing

21. Treatment paratonsillar abscess


- Dissection of abscess
- Abscesstonsillectomy
- Needle aspiration

22. What should be done when the nasal fragments are mobile after the
reposition of broken nose
- Ant. Tamponade
- Plaster bandage
- Imaging studies

23. Frontal sinus fractures occur


- Ant. Table fractures
- Post. Table fracture
- Nasofrontal recess injury

24. Options during fracture of frontal sinus


- Reposition of ant. Wall of frontal sinus
- Repair nasofracture recess
- Int. fixation

25. Treatment of cerebrospinal rhinorrhea


- Surg repair of defect area
- Precautions
- Conservative treatment

26. Occurs during auricular trauma


- Auricular hematoma
- Chondroperichondritis
- Deformation of auricle

27. Treatment option during ext. auditory canal trauma


- Pack anti-inflammatory ointment
- Stenting with silicon tube
- Antibacterial therapy, vaccine for tetanus

28. Tympanic mem trauma


- Head trauma
- Instrumentation during irrigation or aspiration
- Foreign body removal

29. Treatment tactic during injury of tympanic mem


- Keep ear dry
- Oral antibiotic therapy
- Routine oral drops30. Manage of auricular hematoma
- Needle aspiration
- Compression dressing
- Adequate incision durng suppuration

Beyond
31. 1st aid treatment during tympanic mem injury
- Sterile gauze
- Oral antibiotic
- Aseptic dressing

32. Ear ossicle injury


- Otoendoscopy
- Otomicroscopy
- Impendancimetry

33. Treat otitis media


- Topical aural drops
- Antibacterial drops
- Tympanoplasty

34. Inner ear injury occurs


- Iatrogenic instrument of tympanic mem and labrynth
- Horizontal semicircular canal drainage
- Extraction of stapes during ear surgery

35. Inner ear injury


- CSF fistula
- Otic capsule injury
- Trauma perilymphatic fistula

36. During fracture of skull base which accompanied with fracture of pyramid of
temporal bone occurs
- Ipsilateral hearing loss
- Vestibular asymmetry
- Intracranial compli

37. Paratonsillar abscess


- Pain irradiates to ear
- Trism- hard to open
- Rhinotatia apertia

38. Symptoms of during long fracture of pyramid of temp bone


- Perforation of tympanic mem
- Aural hemmorage
- Aural CSF leak

39. During transversal fracture of pyramid of temp bone occurs


- Facial nerve paralysis
- Vestibular loss- Hearing loss

40. Diagnostic tactic for determine the character of fracture


- CT
- MRI
- X- ray

41. Etiology of acoustic trauma


- Shortterm exposure of high decibel noise
- Long term exposure of high decibel noise
- Gun exposure

42. Treatment principles of occupational hearing loss


- To change the profession an early stage
- To use personal protectors as ear plug
- Treatment of sensoneural hearing loss

43. Barotrauma occur

Beyond
- Sudden inc. atmos pressure
- Blockage of auditory loss
- Scuba diving

44. Barotrauma is accompanied by func. Disorders by which organs


- Hearing analyzer
- Vestibular analyzer
- Central nervous system

45. Symptoms barotrauma


- Tinnitus
- hearing loss
- vertigo

46. aeroorthitis in child


- nasal congest
- dysfunc eustation tube
- dysregulate of pressure change

47. precaution measure for prophylaxis barotrauma


- adequate profession option
- regulate norma conduct of atmos pressure
- control of gradual change of atmos pressur

48. signs of bleeding nasal septal cartilage


- found in septal cartilage
- bleeds when touched
- grows gradualls

49. purpos of surg intervent during intracranial compli


- eliminate source infect
- expose diseased dura to norm dura- remove of excess dural granulation

50. stage of otogenic sepsis


- spetickecemia
- septicomeui
- bacterial shock

Beyond

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